Increasing adherence to obstructive sleep apnea treatments with cognitive behavioral therapy (CBT) intervention

阻塞性睡眠呼吸暂停（OSA）是一种常见的睡眠障碍，影响着社区中大约4%的男性和2%的女性。治疗包括使用设备，如持续气道正压通气（CPAP）（金标准治疗）或下颌前移夹板（MAS），两者都能有效降低OSA的心血管风险。然而，许多人甚至没有把规定的治疗方法带回家，许多人在第一周或第一个月内停止使用它们，因为各种各样的生理原因，包括没有减少白天嗜睡或下巴疼痛。认知行为疗法（CBT）是一种干预手段，已被成功用于治疗一系列慢性疾病，并在失眠方面有良好的记录。从最近接受CPAP治疗的患者的初步数据来看，我们有压倒性的证据表明CBT干预的有效性显著增加了将CPAP机器带回家的可能性，使用频率更高，使用时间更长（每晚4小时），在28天内高达6.9次。该项目的目的是比较CBT干预在改善OSA患者使用CPAP或MAS的依从性和依从性方面的益处。

Obstructive Sleep Apnea (OSA) is a common sleep disorder affecting approximately 4% of men and 2% of women in the community. Treatment consists of using a device, such as either Continuous Positive Airway Pressure (CPAP) (the gold standard treatment) or a Mandibular Advancement Splints (MAS) of which both are effective in reducing the cardiovascular risk of OSA. However many individuals do not even take the prescribed treatments home, and many stop using them within the first week or month for a variety of reported physiological reasons including no reduction in daytime somnolence or jaw pain. Cognitive behavioural therapy (CBT) is an intervention which has been used successfully to treat a range of chronic medical conditions with a proven track record in insomnia. From recent preliminary data on patients undergoing CPAP treatment we have overwhelming evidence showing the effectiveness of a CBT intervention which significantly increased the probability of taking the CPAP machine home, using it more frequently and longer (>4 hours each night) by up to 6.9 times at 28 days. The aim of this project is to compare the benefits of a CBT intervention in improving adherence and compliance in OSA sufferers using either CPAP or MAS.